Pre-Absence Form
Middle School/High School
Please excuse my student _____________________________________________from school on the following
dates ___________________________________________________ for the following reasons:
Vacation
□
Dentist/Doctor Appointment
□
Other
□
_________________________________________________________
My student is in __________ grade.
Students are expected to obtain their assignments before they depart; and they are
expected to have the work completed and turned in upon the first day back to school. This
absence and any other absences count towards the maximum 12 absences per semester.
Parents, please sign this form. Have your student take it to each teacher to sign indicating homework has
been given This form then needs to be given to the office by your student after all teachers have signed this
form at least one day in advance.
_______________________________________
Parent Signature______________________________________Date
Teachers: Please sign to acknowledge that the student has received his/her homework.
st
1
hour teacher signature_____________________________________________________________
nd
2
hour teacher signature_____________________________________________________________
rd
3
hour teacher signature_____________________________________________________________
th
4
hour teacher signature_____________________________________________________________
th
5
hour teacher signature_____________________________________________________________
th
6
hour teacher signature_____________________________________________________________
th
7
hour teacher signature_____________________________________________________________
th
8
hour teacher signature_____________________________________________________________
**Administrator signature_____________________________________________________________
TAKE THIS FORM TO THE OFFICE WHEN IT IS COMPLETED!